OBGYN Reveals How Medicine Is Failing Women's Health & Hormones | Dr. Mary Claire Haver EP 919

0:00There are two big things happening at one time that I've never done before. I'm going on a book tour for my new book, Make Money Easy, and I'm doing a podcast tour at the same time. It is going to be big, and I'm going to seven cities in 10 days. Get your friends, get your family, bring everyone you know to these cities. I'm coming to Austin, Texas, New York, Boston. We're going to Nashville. Then we're going to Los Angeles, San Diego, and San Francisco. Make sure to get your tickets right now. go to lewishouse.com slash tour again bring everyone you know if you're looking to create more financial freedom and abundance in your life and you want to see a massive guest live on the school of greatness show get your tickets i can't wait to see you there hi my name is lewis house and welcome to the daily motivation show

0:59it seems like the medical world has failed women i would have to agree with you the medical system i don't think the individual doctor goes out in the world thinks i'm going to fail a woman i think the way we've built the system was for this the basic white guy you know like and and at least It's the U.S. And so all of the studies, you know, women were not even required legally to be in studies until 1993 from the NIH. OK, so we have an entire generation. Now, that happened because thalidomide was being used in pregnant women for nausea and ended up causing birth defects. And that freaked everyone out, understandably.

1:37But they removed all women from studies after that just in case they might get pregnant. Then when you talk to researchers, it's much more expensive and harder to study women because of their cycles or because of peri or postmenopause. And men are just predictable. So they just study mostly men and just take those things and infer them to women when we don't really understand the gender differences and the sex differences and how cardiovascular medications affect. So greatest example, statins, right? We use statins left and right to treat high cholesterol. Most women will have significant elevations of cholesterol through menopause.

2:10So here she goes through the change. Boom. Her cholesterol goes up, goes to her PCP. You need a statin. Statins have never been shown in women to decrease the risk of a heart attack or decrease death from cardiovascular disease. So why do we do it? Because it worked in men and we just do it. Wow. So there is no evidence to support that a statin, it will lower cholesterol, will not decrease the risk of a heart attack. Oh, interesting. Because we develop disease differently and for different reasons. And it's, you know, this was published by the American Heart Association in Circulation Magazine.

2:43I didn't make this up. And so yet there's no studies right now. So now it's like us fighting, getting NIH grants, getting Congress on board. It's what the menopause is doing is advocacy, is fighting on a legislative level to force these things to happen, force these American College of OB-GYN, American Board of OB-GYN. And why should all of women's health fall in the lap of the poor, busy OB-GYN who's trying to deliver babies and prevent cervical cancer? Right. That's I did that job. It's a hard job. This should be required in medical school. I got one hour of menopause in medical school. Every clinician who touches a woman should have required menopause training, not just hot flashes, night sweats and what HRT may or may not do for you.

3:26but how our sex differs in disease and how we need to treat women differently. I mean, if you read Eleanor Cleghorn's The Unwell Woman and you look at The Invisible Woman just came out, Invisible Women, just looking at how in science women are just kind of ignored because we're harder. Harder to study. Yeah, and so we're not little men. We're more than just a short man running around with a breast and a uterus. you know rest in years so we're actually the way we present with disease the way we're treated with disease is vastly different yeah so what started out with like hot flashes and weight gain is actually a much bigger bigger picture and and what are the biggest i guess risk factors for disease with menopause are there higher risk factors for diseases like breast cancer or other types of so menopause you see um the cardiovascular disease risk starts rapidly accelerating yeah So that's because our insulin resistance goes up and our cholesterol goes up.

4:28So the risk factors for heart disease go up once you go through menopause. So you take two 50-year-old women, one is premenopausal, one is post. And she has like a 50 % increased risk of cardiovascular disease once she's postmenopausal. Yeah. So estrogen is incredibly protective for the lining of those vessels in the heart where those plaques start building up. Wow. So in being on HRT early, if you start early enough in menopause is actually will decrease your risk of cardiovascular disease 50 % per year if you start early enough.

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